Organization
THE WAY MENTAL HEALTH SERVICES PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JILL GIBBS (CHAIRPERSON OF THE BOARD)
(612) 382-6916
Entity
Organization
Contact information
Practice address
35548 COUNTY ROAD 66, CROSSLAKE, MN 56442-4115
(218) 692-5152
Mailing address
PO BOX 127, CROSSLAKE, MN 56442-0127
(612) 220-7257
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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